Evidence map›Paper›PMID 30748120›Full record

ArticleMaternal & child nutrition2019

Perspectives on maternal, infant, and young child nutrition and family planning: Considerations for rollout of integrated services in Mara and Kagera, Tanzania.

Chelsea M Cooper, Justine A Kavle, Joyce Nyoni, Mary Drake, Ruth Lemwayi, Lemmy Mabuga, Anne Pfitzer

Open access · hybridAbstract read
In one paragraph

Article in Maternal & child nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Chelsea M CooperUSAID's Maternal and Child Survival Program/Jhpiego, Washington, DC, USA.ORCID 0000-0002-5708-0764
Justine A KavleUSAID's Maternal and Child Survival Program/PATH, Washington, DC, USA.ORCID 0000-0003-0439-6308
Joyce NyoniThe Department of Sociology and Anthropology, University of Dar es Salaam, Dar es Salaam, Tanzania.
Mary DrakeUSAID's Maternal and Child Survival Program/Jhpiego, Dar es Salaam, Tanzania.
Ruth LemwayiUSAID's Maternal and Child Survival Program/Jhpiego, Dar es Salaam, Tanzania.
Lemmy MabugaUSAID's Maternal and Child Survival Program/Jhpiego, Dar es Salaam, Tanzania.
Anne PfitzerUSAID's Maternal and Child Survival Program/Jhpiego, Washington, DC, USA.ORCID 0000-0001-5438-508X
Association of Maternal and Child Health Programs · USUnited States Agency for International Development · USUniversity of Dar es Salaam · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In Lake Zone, Tanzania, low contraceptive prevalence, closely spaced births, and child stunting are common. Synergies exist between postpartum family planning (PPFP) and maternal, infant, and young child nutrition (MIYCN), yet health services are often provided in silos. This qualitative formative research study aimed to identify barriers and facilitating factors for optimal nutrition and PPFP practices in Mara and Kagera, Tanzania. Results informed the program design of an integrated nutrition and family planning (FP) implementation approach. The study involved in-depth interviews with mothers of infants under 1 year (n = 24), grandmothers (n = 12), health providers (n = 6), and traditional birth attendants (n = 12), and 14 focus group discussions with community health workers, fathers, and community leaders. Findings reveal that breastfeeding initiation was often delayed, and prelacteal feeding was common. Respondents linked insufficient breast milk to inadequate maternal nutrition-in terms of the quality of the diet and small quantities of food consumed by mothers. Breast milk insufficiency was addressed through early introduction of foods and liquids. Mothers believed that breastfeeding prevents pregnancy, regardless of the frequency or duration of breastfeeding, yet were generally not aware of the lactational amenorrhea method (LAM) of FP. Joint decision-making on FP was viewed as important, and women often discussed it with their partner. Future programming should address misconceptions about return to fecundity knowledge gaps and concerns about FP methods including LAM; and perceptions regarding insufficient breast milk and early introduction of foods which are impediments to optimal MIYCN and FP practices.

Indexed as

Breast FeedingFamily Planning ServicesHealth Knowledge, Attitudes, PracticeInfant Nutritional Physiological PhenomenaAdolescentAdultChild Nutritional Physiological PhenomenaChild Nutrition DisordersChild, PreschoolCommunity Health ServicesCounselingFamilyFemaleGrowth DisordersHealth EducationHealth Plan Implementationbreastfeedingcomplementary feedingfamily planninginfant feedinglactational amenorrhea methodprogramme design

Identifiers

PMID30748120
PMCPMC6593746
OpenAlexW2912568510

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.